Provider Demographics
NPI:1346609880
Name:MCKENZIE, EMMA AURA (MS, MAOM, LAC)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:AURA
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:MS, MAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9418 MAGNOLIA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1935
Mailing Address - Country:US
Mailing Address - Phone:713-444-3249
Mailing Address - Fax:
Practice Address - Street 1:9418 MAGNOLIA RIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1935
Practice Address - Country:US
Practice Address - Phone:713-444-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01658171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist